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Chapter 02 principles and practice of general insurance
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1-Organization of insurer Consolidation means that the number of firms in the financial services industry has declined over time because of merger and acquisition. Convergence means that financial institutions can now sell a wide variety of financial products that earlier were outside their core business area. An effective organizational structure benefits a company by: Responsibility Authority Accountability Delegation The Organization Chart :An organization chart also shows the company’s chain of command, or the structure of authority that flows downward in the organization from the higher levels to the lower levels. Pyramidal Structure and Levels of Authority:The pyramidal structure illustrates that the authority in a company starts at the top with one person or a small group of people, Authority is then distributed through the chain of command to ever-larger numbers of people throughout out the company. 2- TYPES OF INSURERS ORGANIZATION Insurance organizations are classified by basis of risk coverage [life, general,health, property, auto]. their agency system [independent, exclusive, direct selling]and formation from legal point of view – stock or mutual. Stock insurers Mutual insurers Lloyd’s of London Reciprocal exchanges
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1-Organization of insurer Consolidation means that the number of firms in the financial services industry has declined over time because of merger and acquisition. Convergence means that financial institutions can now sell a wide variety of financial products that earlier were outside their core business area. An effective organizational structure benefits a company by: Responsibility Authority Accountability Delegation The Organization Chart :An organization chart also shows the company’s chain of command, or the structure of authority that flows downward in the organization from the higher levels to the lower levels. Pyramidal Structure and Levels of Authority:The pyramidal structure illustrates that the authority in a company starts at the top with one person or a small group of people, Authority is then distributed through the chain of command to ever-larger numbers of people throughout out the company. 2- TYPES OF INSURERS ORGANIZATION Insurance organizations are classified by basis of risk coverage [life, general,health, property, auto]. their agency system [independent, exclusive, direct selling]and formation from legal point of view – stock or mutual. Stock insurers Mutual insurers Lloyd’s of London Reciprocal exchanges
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1-INSURANCE COMPANY OPERATIONS The most important insurance company operations consist of the following: Ratemaking Underwriting Production Claim settlement Reinsurance Insurers also engage in other operations, such as accounting, legal services, loss control, and information systems. 2-RATING AND RATEMAKING Ratemaking refers to the pricing of insurance and the calculation of insurance premiums . A rate is the price per unit of insurance. An exposure unit is the unit of measurement used in insurance pricing, which varies by line of insurance. The person who determines rates and premiums is known as an actuary . An actuary is a highly skilled mathematician who is involved in all phases of insurance company operations, including planning, pricing, and research. 3-UNDERWRITING Underwriting refers to the process of selecting, classifying, and pricing applicants for insurance . The underwriter is the person who decides to accept or reject an application. Statement of Underwriting Policy:Underwriting starts with a clear statement of underwriting policy. An insurer must establish an underwriting policy that is consistent with company objectives. 4-PRODUCTION The term production refers to the sales and marketing activities of insurers. Agents who sell insurance are frequently referred to as producers . Life insurers have an agency or sales department. This department is responsible for recruiting and training new agents and for the supervision of general agents, branch office managers, and local agents. Property and casualty insurers have marketing departments. To assist agents in the field, special agents may also be appointed. A special agent is a highly specialized technician who provides local agents in the field with technical help and assistance with their marketing problems. 5-CLAIMS SETTLEMENT Every insurance company has a claims division or department for adjusting claims. This section of the chapter examines the basic objectives in adjusting claims, the different types of claim adjustors, and the various steps in the claim-settlement process. Basic Objectives in Claims Settlement: Verification of a covered loss Fair and prompt payment of claims Personal assistance to the insured 6-REINSURANCE Reinsurance is an arrangement by which the primary insurer that initially writes the insurance transfers to another insurer (called the reinsurer) part or all of the potential losses associated with such insurance . The primary insurer that initially writes the insurance is called the ceding company . The insurer that acceptspart or all of the insurance from the ceding com pany is called the reinsurer . The amount of insurance retained by the ceding company for its own account is called the retention limit or net retention . The amount of insurance ceded to the reinsurer is known as the cession
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1-INSURANCE COMPANY OPERATIONS The most important insurance company operations consist of the following: Ratemaking Underwriting Production Claim settlement Reinsurance Insurers also engage in other operations, such as accounting, legal services, loss control, and information systems. 2-RATING AND RATEMAKING Ratemaking refers to the pricing of insurance and the calculation of insurance premiums . A rate is the price per unit of insurance. An exposure unit is the unit of measurement used in insurance pricing, which varies by line of insurance. The person who determines rates and premiums is known as an actuary . An actuary is a highly skilled mathematician who is involved in all phases of insurance company operations, including planning, pricing, and research. 3-UNDERWRITING Underwriting refers to the process of selecting, classifying, and pricing applicants for insurance . The underwriter is the person who decides to accept or reject an application. Statement of Underwriting Policy:Underwriting starts with a clear statement of underwriting policy. An insurer must establish an underwriting policy that is consistent with company objectives. 4-PRODUCTION The term production refers to the sales and marketing activities of insurers. Agents who sell insurance are frequently referred to as producers . Life insurers have an agency or sales department. This department is responsible for recruiting and training new agents and for the supervision of general agents, branch office managers, and local agents. Property and casualty insurers have marketing departments. To assist agents in the field, special agents may also be appointed. A special agent is a highly specialized technician who provides local agents in the field with technical help and assistance with their marketing problems. 5-CLAIMS SETTLEMENT Every insurance company has a claims division or department for adjusting claims. This section of the chapter examines the basic objectives in adjusting claims, the different types of claim adjustors, and the various steps in the claim-settlement process. Basic Objectives in Claims Settlement: Verification of a covered loss Fair and prompt payment of claims Personal assistance to the insured 6-REINSURANCE Reinsurance is an arrangement by which the primary insurer that initially writes the insurance transfers to another insurer (called the reinsurer) part or all of the potential losses associated with such insurance . The primary insurer that initially writes the insurance is called the ceding company . The insurer that acceptspart or all of the insurance from the ceding com pany is called the reinsurer . The amount of insurance retained by the ceding company for its own account is called the retention limit or net retention . The amount of insurance ceded to the reinsurer is known as the cession
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Chapter 02 principles and practice of general insurance
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PRACTICE OF
GENERAL INSURANCE
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